| NPI | 1821791609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 126229) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 094898) |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2026-01-29 |